An 80-year-old man, from an area in Bangladesh where visceral leishmaniasis is endemic, presented at our hospital in June, 2016, reporting widespread swelling and a history of papulonodular lesions for the past 2 years. In 2014, the patient sought medical attention for skin thickening and several subcutaneous papules and nodules of varying sizes, which had gradually developed on the dorsum of the foot, and then disseminated to both legs. The patient gave no history of fever or other systemic symptoms at any time of illness.

中文翻译：

---

黑热病后皮肤利什曼病的非典型表现

一名来自孟加拉国内脏利什曼病流行地区的80岁男子于2016年6月在我院就诊，报告过去2年广泛肿胀和有丘疹的病史。2014年，患者因皮肤增厚以及几个大小不同的皮下丘疹和结节而寻求医疗救助，这些丘疹和结节在脚背逐渐形成，然后散布到双腿。病人在任何时候都没有发烧或其他全身症状的病史。